基于“形神同调”理论辨治持续性房颤

Discussion on the treatment of persistent atrial fibrillation based on the theory of “Xingshen Tongtiao”

房颤作为诱发心脑血管疾病的风险因素,持续性房颤可由阵发性房颤发展而来,随着病情加重可进展为永久性房颤,在临床中治疗难度较大,治疗后易复发,严重影响患者生活质量。房颤在中医学中属于“心悸”“怔忡”的范畴,其病机以形神失调为核心,心主血脉与神明,血脉为形之所用,神明为神之所用,形神共调合一,则可形与神俱。感受外邪、情志异常、久病体虚等因素均可致“神病”与“形病”,二者可同时出现,亦可相互转化。持续性房颤的治疗宜形神同调,治形则神安,安神则形全,虚者补之,实邪者祛之,神机失调则安之,治形与安神并重,脉通神清,心悸自止。以“形神同调”理论为切入点,探讨其在治疗持续性房颤中的运用,以期提供临床诊疗思路与参考。

Atrial fibrillation,as a risk factor for cardiovascular and cerebrovascular diseases,significantly affects life quality of patients.Persistent atrial fibrillation can develop from paroxysmal atrial fibrillation or worsen into permanent atrial fibrillation.It is difficult to treat in clinical practice and prone to recurrence after treatment.In traditional Chinese medicine,atrial fibrillation falls under the category of “palpitations” and “distracted mind”.The pathogenesis of persistent atrial fibrillation is characterized by Xingshen Shitiao.The heart governs blood vessels and divine consciousness,with blood vessels serving as the material aspect and divine consciousness as the spiritual aspect.When the form and spirit are in harmony,they can function properly together.Factors such as external pathogenic influences,emotional abnormalities,and chronic illness-induced weakness can hinder the circulation of blood vessels,causing the heart and mind to lose nourishment and leading to both “spiritual illness” and “physical illness”.These two conditions can occur simultaneously or transform into one another.The treatment and prevention of persistent atrial fibrillation should focus on harmony between form and spirit.Treating the physical aspect stabilizes the spiritual aspect,and calming the spirit benefits the physical aspect.Deficiency should be nourished,while excess evil should be expelled.When the harmony of form and spirit is disrupted,it should be restored.Emphasizing both form and spirit in treatment,clearing blocked meridians and calming the mind will lead to the cessation of palpitations.This article explores the application of the “Xingshen Tongtiao” theory in the treatment of persistent atrial fibrillation,in order to provide clinical treatment ideas and references.